阳微阴弦-气虚血瘀-益气活血与冠状动脉粥样硬化性心脏病

Yang Yang Micro Qi Deficiency Blood Stasis Qi and Blood Stasis and Coronary Heart Disease

冠状动脉粥样硬化性心脏病属"胸痹""心痛"范畴,"阳微阴弦"是对胸痹病因病机的高度概括,"阳微,寸口脉微也,(关前为阳)阳得阴脉,为阳不及,上焦阳虚也;阴弦,尺中脉弦也,(关后为阴)阴得阴脉,为阴太过,下焦阴实也。凡阴实之邪,皆得以上乘阳虚之胸,所以病胸痹心痛"。气虚是发生发展基础,气虚血瘀是病机关键。宜辨证与辨病结合,灵活运用益气活血法,临床疗效显著。未来应开展大样本多中心随机实验,运用循证医学手段,系统深入研究,为中医药治疗冠状动脉粥样硬化性心脏病提供理论依据。

Coronary atherosclerotic heart disease is ＂obstruction of Qi in the chest＂, ＂heartache＂ category, ＂Yin Yang micro string＂ is the highly generalization of the etiology and pathogenesis of chest, ＂Yang Wei, Cunkou pulse micro,（Qian GuanYang） Yang Yin pulse, Yang late, Yang deficiency in upper Jiao; Yin string, string of ulnar midvein,（Hou Guan Yin） Yin yin meridians, Yin too, Jiao Yin also. Where the real Yin evil, all above by Yang chest, so the chest pain disease＂. Qi deficiency is the basis of development, Qi deficiency and blood stasis is the key to pathogenesis. It is appropriate for the combination of syndrome differentiation and differentiation, flexible use of the Qi and blood circulation method, clinical curative effect is obvious. In the future, we should carry out large sample and multi center randomized trials to provide theoretical basis for TCM treatment of coronary atherosclerotic heart disease by means of evidence-based medicine and systematic study.